Greendale Medical Clinic, S.c.

NPI #1023119666 in Greendale, Wisconsin

Provider Information

NPI Number: 1023119666
Entity Type: Organization
Organization Name: Greendale Medical Clinic, S.c.
Primary Specialty: Internal Medicine
Enumeration Date: Sep 26, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 6601 NORTHWAY # D
City: Greendale
State: Wisconsin
ZIP Code: 53129-1830
Phone: (414) 423-0555

Authorized Official

Name: MARTY LUBING, RN
Title: OFFICE MANAGER
Phone: (414) 423-0555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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